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1285933911
STEPHANIE MARIE HICKS
FAIRBANKS, AK
NPI
1285933911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AK 6164)
Enumeration Date
2011-03-21
Last Update Date
2011-03-21
Business Address
-- STEPHANIE MARIE HICKS
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1407
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Mailing Address
-- STEPHANIE MARIE HICKS
1746 HILTON AVE
FAIRBANKS, AK 99701-4020
Phone number: 907-444-4442
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